MR. JAMES KELLY BAZELAIS (NPI# 1548608920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548608920 |
| Entity Type | Individual |
| Full Name | MR. JAMES KELLY BAZELAIS |
| Credential | OTA |
| Practice Address |
600 S Broad St Kennett Square PA 19348-3346 |
| Mailing Address |
944 E Johnson St Philadelphia PA 19138-1065 |
| Practice Telephone | 6109244561 |
| Mailing Telephone | 2679837030 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | OP007379 | PA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
600 S BROAD ST |
| City | KENNETT SQUARE |
| State | PA |
| Zip Code | 19348-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053436980 | Debra Pronzato | Physical Therapist | 600 S Broad St, Kennett Square, PA 19348-3346 | 2007-03-20 |
| 1316385073 | Kimberly Bernice Colson-nugent | Technician, Other | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-06-04 |
| 1912341850 | Theresa Ann Holgerson | Community Health Worker | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-04-22 |
| 1851734008 | Nadine Lascoskie Lascoskie | Physical Therapy Assistant | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-04-08 |
| 1356684013 | Shaneka Nicole Branch | Speech-Language Pathologist | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-04-01 |
| 1053653014 | Brooke Lee Norris | Physical Therapy Assistant | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-03-17 |
| 1508105768 | Kalen Leigh Mitchell | Physical Therapy Assistant | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-02-07 |
| 1821335647 | Wendy N Owen | Speech-Language Pathologist | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-01-14 |
| 1891032983 | Stephanie Lynn Caron | Occupational Therapist | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-01-09 |
| 1285970707 | Sarah Nicole Gregory | Skilled Nursing Facility | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832866 | Bradley Thomas Steese | Social Worker | Holcomb Behavioral Health Systems, 920 E. Baltimore Pike, Kennett Square, PA 19348 | 2020-08-24 |
| 1316319981 | Marie Daddario | Behavioral Analyst | 920 East Baltimore Pike, Holcomb Behavioral Health Systems, Kennett Square, PA 19348 | 2015-10-22 |
| 1578945291 | Therapeutic Guidance LLC | Social Worker | 500 Orchard Avenue, Kennett Square, PA 19348 | 2015-06-19 |
| 1265838858 | Nicole Zitarelli | Physical Therapist | 400 Mcfarlan Road, Kennett Square, PA 19348 | 2014-11-10 |
| 1013320613 | Andrew Casel | Physical Therapy Assistant | 101 East State Street Grs Hr Welcome Center, Kennett Square, PA 19348 | 2014-06-11 |
| 1821408428 | Katherine Scheponik | Occupational Therapist | 101 E. State St., Genesis Rehab Services, Kennet Square, PA 19348 | 2014-05-05 |
| 1518395359 | Scott James Sinick | Physical Therapist | 161 East State Street, Kennet Square, PA 19348 | 2013-10-14 |
| 1730520982 | Amanda Marie Mclean | Occupational Therapy Assistant | 101 State Street, Kennett Square, PA 19348 | 2013-07-16 |
| 1912254889 | Adrien M Trevisan | Dietitian, Registered | 639 Unionville Road, Kennett Square, PA 19348 | 2012-08-10 |
| 1659638781 | Stephanie N Strickland | Speech-Language Pathologist | 101 E State Street, Kennett Square, PA 19348 | 2012-04-13 |
| Find all providers in zip 19348 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033532965 | Peter Bernat | Technician, Other | 101 E State St, Kennett Square, PA 19348-3109 | 2014-01-29 |
| 1316385073 | Kimberly Bernice Colson-nugent | Technician, Other | 600 S Broad St, Kennett Square, PA 19348-3346 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143271 | Lynette Henley | Technician, Other | 5422 Sharswood St, Philadelphia, PA 19131-3929 | 2020-10-29 |
| 1467050039 | Sarah Stachelski | Technician, Other | 215 W 3rd St, Bloomsburg, PA 17815-1614 | 2020-10-15 |
| 1023634276 | Screwjack LLC | Technician, Other | 1355 Pebble Hill Rd, Doylestown, PA 18901-3008 | 2020-06-24 |
| 1942846431 | Jason R Webber | Technician, Other | 993 Greentree Rd # 200, Pittsburgh, PA 15220-3241 | 2019-11-20 |
| 1689231557 | Pa Lice & Easy, LLC | Technician, Other | 2131 N Broad St Ste 101, Lansdale, PA 19446-1083 | 2019-05-25 |
| 1881158871 | Madeleine Harvey | Technician, Other | 23 Morris Ave Ste 219, Bryn Mawr, PA 19010-3335 | 2019-01-24 |
| 1922598010 | Monika Kariuki | Technician, Other | 3416 Janney Ave, Brookhaven, PA 19015-2709 | 2018-05-14 |
| 1215470828 | Tms Associates of Pennsylvania LLC | Technician, Other | 385 Lancaster Ave, Suite 206, Haverford, PA 19041-1551 | 2016-11-30 |
| 1841642550 | Katrina Williams | Technician, Other | 236 N Wilton St, Philadelphia, PA 19139-1416 | 2016-07-06 |
| 1679924856 | Dana Bergey | Technician, Other | 102 E 6th St, Red Hill, PA 18076-1102 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.